| NPI | 1487362489 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OR 10002063) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WA 61379599) |
| Enumeration Date | 2022-11-08 |
| Last Update Date | 2025-11-17 |